The Art of Medicine with Dr. Andrew Wilner

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Show Notes

Colin Zhu, DO, is a locum tenens family physician and author of “Thrive Medicine: How to Cultivate Your Desires and Elevate Your Life.” Colin is a multidimensional physician—he tries to merge Eastern and Western medical philosophies and obtained a culinary degree. Colin discusses how diverse locum experiences locums helped him find his niche as a physician and achieve professional and personal goals. As a locums physician, he also enjoyed the opportunity to mentor students.

Colin discusses his brand, “thechefdoc.” He is also certified as a coach and board-certified in lifestyle medicine and has a podcast. Colin helps people understand more about their bodies and achieve wellness. He recently launched a masterclass series available at thr5 medicine.

Many thanks to Colin Zhu, DO, for participating in this episode of "The Art of Medicine with Dr. Andrew Wilner."

Your feedback is welcome, and please share how you achieve lifestyle balance!

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Links:
Thechefdoc: https://www.chefdoczhu.com/home
Thrive Medicine: https://www.thethr5formula.co


#locums #locumtenens #locumsphysician #culinarymedicine #foodasmedicine #eattobeatdisease #thrivemedicine #lifestylemedicine #lifestylebalance

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Dr. Robin’s School

Please join me for a fun-filled discussion with Robin Dickinson, MD, creator of “Dr. Robin’s School,” an online pre-medical school for children curious about human physiology. 

Dr. Dickinson is a board-certified family physician whose teaching career began in the third grade—when she was a third-grade student! Tasked with tutoring the worst math student in the class, she discovered that helping others learn was challenging, fun, and satisfying. 

Dr. Dickinson continued to indulge her passion for teaching by explaining human physiology to her family practice patients. Then, when the pandemic hit, and she had to close her practice, Dr. Dickinson created Dr. Robin’s School. Designed for children who want to learn about the human body, lessons include introductions to the heart, genetics, the tongue, the stomach, the teeth, and many more topics. 

For a complete list of Dr. Robin’s lessons, click here: https://www.docrobinschool.com/all-lessons

During our 15-minute interview, I was awed by Dr. Dickinson’s passion for teaching. Because her live classes fill quickly, recorded sessions are also available. She targets lessons to children seven to eleven years old, but children as young as four as well as teenagers (and adults) also attend. New classes appear every week.

Many thanks to Robin Dickinson, MD, for speaking with me about her online pre-medical school for children, “Dr. Robin’s School.” 

For more information on Dr. Robin’s School: https://www.docrobinschool.com/

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Show Notes

William Tarver, MD, MPH

Many thanks to William Tarver, MD, MPH, for taking time from his busy day at NASA to discuss space medicine on “The Art of Medicine with Dr. Andrew Wilner.”

Bill trained as an Air Force Flight Surgeon. Then, after a stint in private practice, he joined NASA over 15 years ago. 

Please join us for this fascinating 25-minute interview. Bill describes his job of caring for an exceptionally healthy patient population engaged in an occupation with extraordinary environmental hazards-NASA’s astronauts. He’s cared for space shuttle astronauts and astronauts who travel to the International Space Station. 

Astronauts tend to be physically fit but confront unique physiologic and psychologic stressors. The challenges of keeping astronauts healthy continue to grow as NASA prepares for extended journeys to the moon and Mars.

I’ve previously interviewed Bill for Medscape.com about spaceflight-associated acquired neuro-ocular syndrome (SANS). He truly has a unique perspective to share. 

About a year ago, Bill was kind enough to give me a behind-the-scenes NASA tour that included a brief visit to Mission Control. For an aging Star Trek fan, this peek into our nonfiction space program was a wonderful gift.

During our interview, Bill explained how medical students interested in space medicine can direct their careers to join the medical team at NASA someday.

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Thank you!

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Show Notes

Please join me for this enjoyable 15-minute interview with Bret Stetka, MD, who discusses his new book, “A History of the Human Brain.” Bret has been my editor at Medscape.com for more than a decade. He also freelances as a health and science journalist for Scientific American and NPR. His excellent writing came to the attention of an agent, and the idea for “A History of the Human Brain” was born!

I’ve nearly completed reading his new book, and it’s casual, clear, informative, and fun. Bret covers a few billion years of history in 250 pages with ease. 

How, exactly, we came to possess the most advanced biological, cognitive processor on the planet remains something of a mystery. Bret considers the influence of fire, language, socialization, and tools on brain development. Leaning on his experience as a food writer, he explores how various nutrients nourish the brain and their possible role in stimulating brain evolution. The fact that humans can digest a variety of plants and animals may also have played an essential role in our species’ success.

I congratulate Bret on accomplishing such an ambitious project. A History of the Human Brain is available at Amazon.com, the publisher’s website, and on my library page.

For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.”

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Show Notes

Mistaken Identity and Good Guy Coffee

This episode of “The Art of Medicine with Dr. Andrew Wilner” is a little different. It explores how the power of social media can suddenly upset one’s routine, and in this case, lead to an unusual and positive outcome.

Join me for an introduction to Jason Collier, DDS (not the other Jason Collier!). Dr. Collier is a dental surgeon in private practice in Memphis, TN, who experienced sudden internet fame due to a ne’er-do-well namesake in Texas.

During this 20-minute episode, Dr. Collier relates how this case of mistaken identity changed his life and led to the creation of GoodGuy Coffee. GoodGuy Coffee follows in the footsteps of Paul Newman’s brand, “Newman’s Own,” with profits destined for charity. Dr. Collier is also developing a reality show, which I can’t wait to see.

Many thanks to Dr. Jason Collier for sharing his story. You can follow Dr. Collier on his Facebook Fan Page and at www.GoodGuy.Coffee.

For more fascinating episodes of The Art of Medicine with Dr. Andrew Wilner, please subscribe!

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Show Notes
Spectrum of Migraine

Many thanks to Stephen Landy, MD, for sharing his expertise in the diagnosis and treatment of migraine on The Art of Medicine. Dr. Landy graduated with honors from the University of Tennessee College of Medicine in 1982 (where I am currently a faculty member). He has participated in headache research and treated patients with headache for nearly four decades.

I recently had the opportunity to attend one of Dr. Landy’s presentations on the treatment of chronic migraine with Botox. I was impressed with the depth of his experience and holistic approach to migraine treatment. 

During our 20-minute discussion, we discussed the diagnosis of migraine, frequency in the general population, identification and avoidance of triggers, lifestyle modification, as well as abortive and prophylactic medication. (As a migraine sufferer myself, I shared a few personal anecdotes as well!)

Dr. Landy directs a headache clinic in Tupelo, MS, where he specializes in patients with difficult to treat migraine and those with chronic pain. More info at his website: https://landyhe.com

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Show Notes

Many thanks to Kyla Plaxton for sharing her personal story and professional tips about the ancient art of acupressure. Kyla learned about acupressure while still a teenager. She was so enthralled with how good it made her feel that she made it her profession. Acupressure is a hands-on therapy that utilizes the same energy meridians as acupuncture but relies on fingertip pressure instead of needles. Kyla explained that people can also self-administer acupressure, eliminating the need (and expense) of traveling to a therapist.

Kyla specializes in treating women with headaches, insomnia, menstrual cramps, mental health issues, and vertigo. Acupressure can also be helpful for men. 

On her website, KylaPlaxton.com has nearly 100 videos demonstrating different acupressure techniques. She also has a YouTube channel and can be contacted through Facebook and Instagram.

Please join us for the 20-minute interview to meet Kyla and learn more about acupressure.

For more fascinating interviews on the art of medicine, please subscribe!

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Donnie Bell, MD, a neuro-interventional radiologist and Deputy Chief Medical Officer for New York City Health and Hospitals in New York City, NY, for chatting with me today. Dr. Bell is a co-author of a recent article published in the Journal of the American Medical Association along with Michael Katz, MD, that speaks to the necessity of modernizing the medical licensing and credentialing process due to time-wasting redundancies and inefficiencies. Dr. Bell has first-hand knowledge of these issues from personal experience and overseeing his institution’s medical staff credentialing process.

Dr. Bell confirmed that delayed and cumbersome credentialing experiences commonly occur across the country. This chronic problem disproportionately affects physicians who practice locum tenens and telemedicine, who often maintain more than one medical license and credentialing at multiple institutions. Locum tenens physicians often carry five or more state licenses, and I have heard of telemedicine physicians with thirty or more. 

In New York City, the bureaucratic obstacle to clinical care of licensing and credentialing became acutely apparent during the COVID-19 pandemic when additional providers were needed emergently. Even though regulatory bodies lifted some restrictions using “disaster” mode, many practitioners had to wait far too long before they could assist in desperately needed patient care. These barriers affected not only physicians but other health care providers as well.

Dr. Bell discussed the pros and cons of a national medical license, which would facilitate physician movement throughout the country. A common physician database, which already exists in the form of the National Provider Identifier (NPI) identifier, could facilitate the process. As proof of concept, the Veterans Health Administration, the largest health care system in the United States, only requires its physicians to maintain a single state license. An international medical certificate would further increase physician mobility and access to care.

Dr. Bell suggested that one hypothetical consequence of abandoning state medical board jurisdiction is that disciplinary action against physicians might be more difficult to enforce. According to Dr. Bell, it is too early to determine whether the relaxation of licensing and credentialing during the COVID-19 pandemic has resulted in any patient harm. 

According to Dr. Bell, the Interstate Medical Licensure Compact (IMLC) is “the best of both worlds.” Unfortunately, the IMLC still requires physicians to obtain and pay for each state license. Physicians must also adhere to each state’s continuing medical education (CME) requirements, which can vary significantly from state to state. Dr. Bell suggested that the Federal Government is “best positioned” to streamline the state-dominated system.

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Show Notes
Recorded March 2, 2021

Many thanks to Ken Sommerville, MD, an old friend and colleague, who discussed his 30 years of experience in the pharmaceutical industry. 

When I was in training, my academic mentors considered Pharma the “dark side” with the implication that such a career was unworthy of a physician with Oslerian aspirations. Ken provided welcome enlightenment on this narrow perspective.

A colleague’s unexpected invitation prompted Dr. Sommerville to consider working in the pharmaceutical industry. While excited by the possibility of trying something new, he was very reluctant to leave his patients and community after 11 years of private neurology practice. However, with his wife’s encouragement, he signed on as a clinical scientist to help develop new epilepsy drugs. Dr. Sommerville remembers that leaving clinical medicine was “one of the toughest decisions of my life.”

Dr. Sommerville described how difficult it was to transition from an intense clinical practice to a nonclinical career. He had to master the science of drug development and the art of navigating a large organization’s politics. He discovered that both of these objectives were equally challenging.

Dr. Sommerville described his work over the next thirty years with several pharmaceutical companies, both large and small, and offered insights on each. He explained that the pharmaceutical industry is “not for everybody” but allows one to help many more people than can be accomplished by treating patients one at a time in a clinic. His role of shepherding effective new drugs to market proved enormously satisfying. Dr. Sommerville also maintained his identity and mission as a physician even while working in the corporate world.

I hope you find our 30-minute discussion both informative and entertaining. If you have any inkling of joining the ranks of Pharma, this program is a must-listen!

For more episodes of “The Art of Medicine with Dr. Andrew Wilner,” please subscribe! Feel free to share these programs with your friends and colleagues. Comments are appreciated.

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Show Notes

February 17, 2021

Introduction

Many thanks to Jennifer Frontera, MD, Professor of Neurology at NYU Grossman School of Medicine, New York, New York, for discussing the new Neuro Databank-Biobank for COVID-19. Dr. Frontera is a neurocritical care specialist and has been caring for COVID-19 patients in New York City since the start of the pandemic. She has contributed to several important research publications on this topic found at www.pubmed.gov.

“Disaster Medicine” in NYC

Dr. Frontera described the challenges of practicing “disaster medicine” at the onset of the pandemic. The high numbers of COVID-19 infected patients required impromptu field hospitals and the recruitment of all available medically trained personnel. New York City physicians are now applying lessons learned to the current “second surge” of the disease.

Neuro Databank-Biobank

To better understand the neurologic complications of COVID-19, NYU collected information on approximately 5,000 patients last spring. With the help of a grant from the National Institutes of Health (NIH) and the National Institute of Neurological Disorders and Stroke (NINDS), the program now accepts data and specimens from physicians treating COVID-19-infected patients anywhere in the country. The registry also welcomes information and samples from outpatients with “Long-COVID.” Reimbursement is available to compensate for the time required to complete the data entry form.

Dr. Frontera encouraged both academic and community neurologists to contact the databank to submit their experience with COVID-19 patients. 

https://med.nyu.edu/departments-institutes/population-health/divisions-sections-centers/biostatistics/research/nih-neurodatabank-neurobiobank

Conclusions
As much as the Neuro Databank and Biobank welcomes COVID-19 samples, Dr. Frontera and I agree that vaccination is a low-risk and highly effective way to prevent the disease and the neurologic complications that may result. The registry will gladly settle for fewer contributions if it means a healthier population!

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